Individual
DR. NEIL MARK BLUMENTHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
17926 HALSTED ST, SUITE 3NW, HOMEWOOD, IL 60430-2029
(708) 798-0714
(708) 798-4487
Mailing address
17926 HALSTED ST, SUITE 3NW, HOMEWOOD, IL 60430-2029
(708) 798-0714
(708) 798-4487
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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